CN108903989B - Medical multifunctional tendon suture assisting device - Google Patents

Medical multifunctional tendon suture assisting device Download PDF

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Publication number
CN108903989B
CN108903989B CN201810956491.5A CN201810956491A CN108903989B CN 108903989 B CN108903989 B CN 108903989B CN 201810956491 A CN201810956491 A CN 201810956491A CN 108903989 B CN108903989 B CN 108903989B
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CN
China
Prior art keywords
block
auxiliary device
tendon
clamping
assisting device
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Active
Application number
CN201810956491.5A
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Chinese (zh)
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CN108903989A (en
Inventor
顾松
谢仁国
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Shanghai First Peoples Hospital
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Shanghai First Peoples Hospital
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Priority to CN201810956491.5A priority Critical patent/CN108903989B/en
Publication of CN108903989A publication Critical patent/CN108903989A/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0491Sewing machines for surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0464Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue

Abstract

The invention relates to a medical multifunctional tendon suture assisting device, which belongs to the field of medical appliances and comprises an assisting device A block and an assisting device B block which are connected end to end, wherein grooves which are communicated with each other are formed in the assisting device A block and the assisting device B block to form a tendon accommodating cavity, tendon clamps are arranged at the distance from the assisting device A block to the far end of the assisting device B block and the far end of the assisting device B block to the assisting device A block, and the assisting device A block and the assisting device B block are connected through clamping pieces. Compared with the prior art, the invention can implement the suture operation by a single person through the fixing of the positions of the auxiliary device A block and the auxiliary device B block, effectively realizes the single person operation of the tendon suture operation, saves the hands of the person, and has better single person operation effect.

Description

Medical multifunctional tendon suture assisting device
Technical Field
The invention belongs to the technical field of medical appliances, and particularly relates to a medical multifunctional tendon suture aid.
Background
Tendons are composed of a plurality of longitudinal fiber bundles, loose connective tissues among the bundles are connected together, and tendinosis refers to an operation for repairing and suturing broken tendons again to restore functions, wherein tendon breakage and defect are common diseases, are mostly caused by injury or pathological changes, and the broken or defective tendons must be restored in time in order to restore functions of limbs.
Tendon rupture is very common in emergency trauma patients, in tendon suture operation, doctors need to separate soft tissues near wounds to expose broken ends at two sides of the tendon, because elastic retraction of the tendon needs to be overcome, an assistant doctor needs to clamp the broken ends at two sides of the tendon to be close to the middle by using instruments and keep stable in the whole operation process, and the other doctor can carry out tendon suture, and because the tendon is often close to vascular nerves, tissue blood seepage easily causes poor operation vision and other reasons, the tendon suture process is extremely easy to cause damage of other important tissues nearby, therefore, the tendon suture quality is difficult to be ensured, side injury is easy to cause, the operation needs two doctors to cooperate, and single person is difficult to finish.
Chinese patent application: CN201110006044.1 discloses a medical tendon suture adjustable auxiliary fixator convenient to operate and use, including tendon clamp, the bayonet socket of tendon clamp is tooth form structure, medical tendon suture adjustable auxiliary fixator is including two tendon clamps, all relative swivelling joint has movable longitudinal rod on every tendon clamp, and movable longitudinal rod is rectangular form, all opens on every movable longitudinal rod and has the perforation, wears horizontal regulation dead lever in the perforation, and horizontal regulation dead lever both ends threaded connection has butterfly nut, and butterfly nut is located movable longitudinal rod outside. Chinese patent application: CN201120087708.7 discloses a tendon suture fixer capable of reducing tendon injury degree and convenient to operate and use, comprising a fixed seat and a movable seat, wherein the fixed seat comprises a fixed rod and a guide rod, and the movable seat comprises a connecting rod and a movable rod. However, a medical multifunctional tendon suture aid with good tendon suture operation effect and capable of being operated by a single person is not reported at present.
Disclosure of Invention
Aiming at the defects of the prior art, the invention provides a medical multifunctional tendon suture assisting device which has the advantages of good tendon suture operation effect, single operation, human hand saving and the like, and solves the problems that the tendon suture operation must be matched by a person and the operation effect is difficult to guarantee.
The invention realizes the above purpose through the following technical scheme:
the invention provides a medical multifunctional tendon suture auxiliary device which comprises an auxiliary device A block and an auxiliary device B block which are connected end to end, wherein grooves which are communicated with each other are formed in the auxiliary device A block and the auxiliary device B block to form a tendon accommodating cavity, tendon clamps are arranged at the distance from the auxiliary device A block to the far end of the auxiliary device B block and the far end of the auxiliary device B block to the auxiliary device A block, and the auxiliary device A block and the auxiliary device B block are connected in a telescopic manner through clamping pieces.
The clamping piece comprises a convex clamping block and a concave clamping groove matched with the convex clamping block, a boss is arranged on the side edge of the convex clamping block, a toothed structure matched with the boss is arranged on the inner side surface of the concave clamping groove, the toothed structure is a unidirectional tooth, and is inserted into the concave clamping groove towards the notch direction of the concave clamping groove when the clamping piece is used, and the boss is clamped on the back surface of the tooth to realize fixation.
The tendon clamp comprises a needle head, a clamping plate, a bearing and a lock catch, wherein the lock catch is hinged to one side edge of an auxiliary device A block/an auxiliary device B block, one end of the clamping plate is hinged to the other side of the auxiliary device A block/the auxiliary device B block through the bearing, and the other end of the clamping plate is fixed through the lock catch; the needle is arranged on the inner side wall of the auxiliary device A block/the auxiliary device B block, and faces the lower surface of the clamping plate to form a clamping state with the lower surface of the clamping plate.
The lower surface of the clamping plate is provided with a needle hole matched with the needle head.
The needle heads are arranged in a plurality, and all the needle heads are positioned on the same plane.
The tendon suture operation device has the advantages that the suture operation can be implemented by a single person through fixing the positions of the auxiliary device A block and the auxiliary device B block, the single person operation of the tendon suture operation is effectively realized, the human hand is saved, and the single person operation effect is better.
Drawings
FIG. 1 is a perspective view of the structure of the present invention;
FIG. 2 is a perspective view of a concave slot structure of the present invention;
fig. 3 is an expanded perspective view of the tendon clip structure of the present invention.
In the figure: 1 auxiliary device A piece, 2 auxiliary device B pieces, 3 supports, 4 needles, 5 clamping plates, 6 pinholes, 7 locks, 8 convex clamping blocks, 81 bosses, 9 concave clamping grooves and 91 tooth-shaped structures.
Detailed Description
The following detailed description of the present application is provided in conjunction with the accompanying drawings, and it is to be understood that the following detailed description is merely illustrative of the application and is not to be construed as limiting the scope of the application, since numerous insubstantial modifications and adaptations of the application will be to those skilled in the art in light of the foregoing disclosure.
Example 1
As shown in fig. 1-3, a medical multifunctional tendon suture assisting device is provided, which comprises an assisting device a block 1 and an assisting device B block 2 which are connected end to end, wherein grooves which are communicated with each other are formed in the assisting device a block 1 and the assisting device B block 2 to form a tendon accommodating cavity for accommodating broken tendons, a tendon clamp is arranged at the far end of the assisting device a block 1 away from the assisting device B block 2 and the far end of the assisting device B block 2 away from the assisting device a block 1, and the assisting device a block 1 and the assisting device B block 2 are connected in a telescopic manner through a clamping piece.
The tendon clamp comprises a needle head 4, a clamping plate 5, a bearing and a lock catch 7, wherein the lock catch 7 is hinged on one side edge of an auxiliary A block 1/an auxiliary B block 2, one end of the clamping plate 5 is hinged on the other side of the auxiliary A block 1/the auxiliary B block 2 through the bearing, and the other end of the clamping plate is fixed through the lock catch 7; the needles 4 are provided with a plurality of needles, and are fixed on the inner side wall of the auxiliary device A block 1/the auxiliary device B block 2 through a support 3, so that the tips of all the needles 4 are ensured to be positioned on the same plane. The tip of the needle 4 faces the lower surface of the clamping plate 5, a needle hole 6 is formed in the lower surface of the clamping plate 5 opposite to the needle 4, and when the needle is used, broken tendons pass through the needle 4 and the clamping plate 5 and are fixed in the auxiliary device under the cooperation of the lock catch 7, so that the positions of the broken tendons are stable and not loose.
The clamping piece comprises a convex clamping block 8 and a concave clamping groove 9 matched with the convex clamping block, a boss 81 is arranged on the side edge of the convex clamping block 8, which faces the concave clamping groove 9, a toothed structure 91 matched with the boss 81 is arranged on the inner side surface of the concave clamping groove 9, the toothed structure 91 is a unidirectional tooth, faces the notch direction of the concave clamping groove 9, the convex clamping block 8 is tightly and firmly matched with the concave clamping groove 9 through the clamping of the boss 81 and the toothed structure 91, the position stability of tendons is guaranteed, and the stability and safety of the operation process are realized.
When the suturing operation is carried out, the needle heads 4 on the two sides of the tendon are respectively inserted into the positions which are about 1.5cm away from the broken ends, the tendon is clamped by the lock catches 7, the doctor pulls the auxiliary device A block 1 and the auxiliary device B block 2 close together by both hands until the two hands are at satisfactory positions, the convex clamping blocks 8 are inserted into the corresponding concave clamping grooves 9, at the moment, the broken parts of the tendon are just positioned in the auxiliary devices, the suturing operation can be carried out by a single person, and the lock catches 7 of the tendon clamp are released after the operation is finished, and the auxiliary devices are taken out. The mode effectively realizes single operator operation of tendon suture operation, saves human hands, and has better single operator operation effect. Because the action position of the auxiliary device is about 1.5cm away from two sides of the broken tendon, other important tissues such as adjacent vascular nerves are all positioned outside the auxiliary device, thereby avoiding the operation side injury, the groove-shaped tendon accommodating cavity can also prevent the peripheral blood seepage from entering, realizing clear operation vision and improving the suturing quality of the tendon.
The foregoing examples illustrate only a few embodiments of the invention and are described in detail herein without thereby limiting the scope of the invention. It should be noted that it will be apparent to those skilled in the art that several variations and modifications can be made without departing from the spirit of the invention, which are all within the scope of the invention.

Claims (1)

1. The medical multifunctional tendon suture auxiliary device is characterized by comprising an auxiliary device A block and an auxiliary device B block which are connected end to end, wherein grooves which are communicated with each other are formed in the auxiliary device A block and the auxiliary device B block to form a tendon accommodating cavity, tendon clamps are arranged at the far end of the auxiliary device A block, which is far from the auxiliary device A block, and the far end of the auxiliary device B block, which is far from the auxiliary device A block, respectively, the auxiliary device A block and the auxiliary device B block are connected through clamping pieces, the clamping pieces comprise convex clamping blocks and concave clamping grooves matched with the convex clamping blocks, bosses are arranged on the side edges of the convex clamping blocks, which face the concave clamping grooves, tooth structures matched with the bosses are unidirectional teeth, which face the notch directions of the concave clamping grooves, the tendon clamps comprise needles, clamping plates, bearings and locking buckles, the locking buckles are hinged to one side edges of the auxiliary device A block/the auxiliary device B block, one end of the clamping plates is hinged to the other side of the auxiliary device A block/the auxiliary device B block through bearings, and the other end of the clamping plates is fixed through the locking buckles; the needle is arranged on the inner side wall of the auxiliary device A block/the auxiliary device B block, the tip of the needle faces the lower surface of the clamping plate to form a clamping state with the lower surface of the clamping plate, the lower surface of the clamping plate is provided with a needle hole matched with the needle, the needle is provided with a plurality of needles, and the tip of each needle is positioned on the same plane.
CN201810956491.5A 2018-08-21 2018-08-21 Medical multifunctional tendon suture assisting device Active CN108903989B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201810956491.5A CN108903989B (en) 2018-08-21 2018-08-21 Medical multifunctional tendon suture assisting device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201810956491.5A CN108903989B (en) 2018-08-21 2018-08-21 Medical multifunctional tendon suture assisting device

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CN108903989A CN108903989A (en) 2018-11-30
CN108903989B true CN108903989B (en) 2024-03-26

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111317524B (en) * 2020-02-28 2021-01-29 中南大学湘雅二医院 Tendon stitching instrument and using method thereof

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5916224A (en) * 1997-07-09 1999-06-29 The United States Of America As Represented By The Secretary Of The Army Tendon repair clip implant
CN102028513A (en) * 2011-01-04 2011-04-27 韩文冬 Medicinal adjustable auxiliary fixing device for tendon suture
CN202027638U (en) * 2011-03-23 2011-11-09 陈欣 Tendon suture fixator
CN209422011U (en) * 2018-08-21 2019-09-24 上海市第一人民医院 A kind of medical multifunctional tendon suture ancillary equipment

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5916224A (en) * 1997-07-09 1999-06-29 The United States Of America As Represented By The Secretary Of The Army Tendon repair clip implant
CN102028513A (en) * 2011-01-04 2011-04-27 韩文冬 Medicinal adjustable auxiliary fixing device for tendon suture
CN202027638U (en) * 2011-03-23 2011-11-09 陈欣 Tendon suture fixator
CN209422011U (en) * 2018-08-21 2019-09-24 上海市第一人民医院 A kind of medical multifunctional tendon suture ancillary equipment

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